Individual
JO R. TANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12213 N 22ND PL, PHOENIX, AZ 85022-5810
(480) 861-6067
Mailing address
1938 E WAGONER RD, PHOENIX, AZ 85022-1367
(480) 861-6067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7750
AZ
Other
Enumeration date
05/14/2012
Last updated
03/22/2013
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